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To receive your custom no-obligation proposal, just fill in the
form below (a * specifies a field
that is required to process your form).
While it is not
necessary to answer every question on the form, please try to fill
it in as completely as possible to help us in creating your
proposal.
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1.
Will your web site need to span more than
one page?
Yes
No
Unknown |
2.
Please provide three to five custom domain
name choices . We will research their
availability for you.
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3.
Would you like a custom order form so that
customers can order your products/services over the
Internet?
Yes
No |
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4. Will you need us to custom design graphics
and logos for your web site?
Yes No
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5.Please specify the approximate time you need
the web site up and completed.
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6. If you already have a web site online,
please provide the URL below.
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7. If you provided web site address above,
please tell us what you like and dislike about your current
page.
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8. How often will your web site need to be
updated?
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9. Please use the area below to list your
requirements and expectations for your web site
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10.
Business Information
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| Business Name |
* |
| Contact Name |
* |
| Address |
* |
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| City |
* |
| State |
*
ZIP * |
| Phone Number |
* |
| Fax Number |
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| E-mail |
* |
11.
Would you like a sales representative to
contact you by phone for a no-obligation, hassle-free discussion of
your web site plans?*
Yes No |
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